Neighborhood socioeconomic characteristics and statin medication in patients with myocardial infarction: a Swedish nationwide follow-up studyReportar como inadecuado




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BMC Cardiovascular Disorders

, 16:146

Epidemiology

Abstract

BackgroundCoronary heart disease CHD and myocardial infarction MI are associated with neighborhood-level socioeconomic status SES. Statins are important drugs for secondary prevention of MI. However, no study has determined whether neighborhood-level SES is associated with statin medication in MI patients. We aimed to determine whether there is a difference in statin medication rate in MI patients across different levels of neighborhood SES.

MethodsAll patients in Sweden, diagnosed with incident MI from January 1st, 2000 until December 31 2010, were followed n = 116,840. Of these, 89.7 % received statin medication. Data were analyzed by multilevel logistic regression, with individual-level characteristics age, marital status, family income, educational attainment, country of origin, urban-rural status and comorbidities-chronic conditions related to MI as covariates.

ResultsLow neighborhood-level SES was significantly associated with low statin medication rate Odds Ratio 0.80. In the full model, which took into account individual-level socioeconomic characteristics and MI comorbidities, the odds no longer remained significant.

ConclusionsIndividual-level approaches may be most important in health care policies regarding statin medication in MI patients.

KeywordsMyocardial infarction Neighborhood deprivation Socioeconomic status Statins Electronic supplementary materialThe online version of this article doi:10.1186-s12872-016-0319-y contains supplementary material, which is available to authorized users.

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Autor: Per-Ola Forsberg - Xinjun Li - Kristina Sundquist

Fuente: https://link.springer.com/







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